Provider Demographics
NPI:1821786203
Name:SINGH, SIMARDEEP (MD)
Entity Type:Individual
Prefix:MR
First Name:SIMARDEEP
Middle Name:
Last Name:SINGH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9000 FRANKLIN SQUARE DR,
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21237
Mailing Address - Country:US
Mailing Address - Phone:443-777-7700
Mailing Address - Fax:443-777-7919
Practice Address - Street 1:9000 FRANKLIN SQUARE DR,
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21237
Practice Address - Country:US
Practice Address - Phone:443-777-7700
Practice Address - Fax:443-777-7919
Is Sole Proprietor?:No
Enumeration Date:2023-04-25
Last Update Date:2023-12-05
Deactivation Date:2023-11-29
Deactivation Code:
Reactivation Date:2023-12-05
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program